NPIMap

Organization Active NPI

Evolve Dental Care LLC

  • Dentist
  • Allentown, PA
National Provider Identifier
1336570944
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EVOLVE DENTAL CARE LLC
Practice address
2871 W Emaus Ave
Allentown, PA 18103-7103
Phone
(610) 797-8245
NPI assigned
Dec 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amir MojahedNPI 1982725792
Title
Owner
Phone
(857) 222-5554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X PA Primary

Addresses

Primary practice location

2871 W Emaus Ave
Allentown, PA 18103-7103

Mailing address

2871 W Emaus Ave
Allentown, PA 18103-7103
Phone (610) 797-8245

National Provider Directory

National Provider Directory

Locations

2871 W Emaus Ave
Allentown, PA 18103
Phone (610) 797-8245

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1336570944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037103",
            "telephone_number": "610-797-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 W EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037103",
            "telephone_number": "610-797-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-07",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "MOJAHED",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-222-5554"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.